Michael Rudoff, DO | |
2512 E Dupont Rd Ste 110, Fort Wayne, IN 46825-1609 | |
(260) 458-3045 | |
(260) 479-2947 |
Full Name | Michael Rudoff |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 8 Years |
Location | 2512 E Dupont Rd Ste 110, Fort Wayne, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134570690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 02007536A (Indiana) | Primary |
208800000X | Urology | 5101022797 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Dupont Hospital Llc | Fort wayne, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Kosciusko Community Hospital | Warsaw, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lutheran Medical Group Llc | 4981751617 | 264 |
Entity Name | Lutheran Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
Mailing Address | Practice Location Address |
---|---|
Michael Rudoff, DO 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: () - | Michael Rudoff, DO 2512 E Dupont Rd Ste 110, Fort Wayne, IN 46825-1609 Ph: (260) 458-3045 |
Claire Aubrey, D.O Urology Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 110, Fort Wayne, IN 46825 Phone: 260-458-3045 Fax: 260-479-2947 | |
Dr. Sable Paige Locke, M.D. Urology Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845 Phone: 260-425-5400 Fax: 260-425-5417 | |
David L Pollifrone, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 325, Fort Wayne, IN 46845 Phone: 260-425-5400 Fax: 260-425-5417 | |
George W. Bowers, Urology Medicare: Not Enrolled in Medicare Practice Location: 12002 Haddington Court, Fort Wayne, IN 46814 Phone: 260-625-3872 Fax: 260-524-5390 | |
Donald A Urban, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845 Phone: 260-482-8681 Fax: 260-969-0350 | |
Nathan John Locke, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845 Phone: 260-425-5400 Fax: 260-425-5417 |